How much rates vary
Facilitymedian $245 · 10th to 90th $117 to $603Professionalmedian $166 · 10th to 90th $69 to $1,023
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $114.82 Median $295.12 Typical High $707.95 | Facility | None | $114.82 | $295.12 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $117.49 Typical High $117.49 | Professional | None | $102.33 | $117.49 | $117.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $169.82 Median $245.47 Typical High $676.08 | Facility | None | $169.82 | $245.47 | $676.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $190.55 Typical High $575.44 | Professional | None | $69.18 | $190.55 | $575.44 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $257.04 Typical High $407.38 | Facility | None | $100.00 | $257.04 | $407.38 |
Blue Shield Setting Professional Modifier None Typical Low $61.66 Median $89.13 Typical High $234.42 | Professional | None | $61.66 | $89.13 | $234.42 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $109.65 Median $123.03 Typical High $186.21 | Professional | None | $109.65 | $123.03 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $245.47 Typical High $457.09 | Facility | None | $97.72 | $245.47 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $147.91 Typical High $676.08 | Professional | None | $72.44 | $147.91 | $676.08 |
Contra Costa Health Setting Professional Modifier None Typical Low $109.65 Median $151.36 Typical High $186.21 | Professional | None | $109.65 | $151.36 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $123.03 Median $158.49 Typical High $363.08 | Professional | None | $123.03 | $158.49 | $363.08 |
Lucent Health Setting Professional Modifier None Typical Low $691.83 Median $1,023.29 Typical High $1,023.29 | Professional | None | $691.83 | $1,023.29 | $1,023.29 |
Providence Setting Facility Modifier None Typical Low $107.15 Median $181.97 Typical High $416.87 | Facility | None | $107.15 | $181.97 | $416.87 |
Providence Setting Professional Modifier None Typical Low $74.13 Median $151.36 Typical High $676.08 | Professional | None | $74.13 | $151.36 | $676.08 |
Sutter Health Plus Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
United Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $138.04 | Facility | None | $57.54 | $57.54 | $138.04 |
United Setting Professional Modifier None Typical Low $57.54 Median $81.28 Typical High $602.56 | Professional | None | $57.54 | $81.28 | $602.56 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $56.23 Median $147.91 Typical High $354.81 | Facility | 52 · Reduced service | $56.23 | $147.91 | $354.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.91 Median $58.88 Typical High $141.25 | Facility | 53 · Discontinued | $22.91 | $58.88 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $51.29 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $20.42 | $23.44 | $23.44 |
Where California sits
The same service costs 5.5 times more in Texas than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
California· 6th of 51
$182
TX $347AL $63.10
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.